180 Medical, INC.
Durable Medical Equipment & Medical Supplies in Shreveport, LA. Organization (NPI-2).
NPI number1063749042
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1063749042
- Entity type
- Organization (NPI-2)
- Legal business name
- 180 Medical, INC.
- Organization subpart
- No
- Enumeration date
- Nov 11, 2009
- Certification date
- May 18, 2022
- Last updated
- May 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | DME.000354 | LA | Yes |
Practice location
1520 N Hearne AveSuite 112
Shreveport, LA 71107-7155
Phone 318-798-4977 · Fax 888-718-0633
Mailing address
8516 Nw ExpresswayOklahoma City, OK 73162-6010
Phone 877-688-2729 · Fax 888-718-0633
Authorized official
Jeffery B Hendrix
Cfo
4054432985
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